Tikudziwa mavuto okhala ndi kachilombo ka HIV. Kumwa mapiritsi tsiku lililonse ndi kumwa mankhwala pa nthawi yake nthawi zina kumakhala kotopetsa kwambiri. Ndiye, mukuganiza bwanji za jakisoni yomwe mumalandira mwezi uliwonse kapena miyezi iwiri iliyonse m'malo mwa kumwa mapiritsi awa a tsiku ndi tsiku? Lero tikambirana za mankhwala atsopano otere. Ndi kuphatikiza kwa mankhwala awiri otchedwa Cabotegravir ndi Rilpivirine.
Kodi mankhwala amenewa ndi chiyani kwenikweni?
Mwachidule, iyi ndi mankhwala ochepetsa mphamvu ya kachilombo ka HIV omwe amagwira ntchito yolimbana ndi kachilombo ka HIV. Ikupezeka pamsika pansi pa dzina lakuti Cabenuva . Chapadera cha izi ndichakuti m'malo momwa mapiritsi tsiku lililonse, mankhwalawa amatha kupezeka ngati jakisoni m'minofu kamodzi pamwezi kapena miyezi iwiri.
Koma ndikofunikira kukumbukira izi: Mankhwalawa si mankhwala ochizira matenda a HIV. Amangolamulira kachilombo ka HIV m'thupi. Komanso, kumwa mankhwalawa sikuchotsa kwathunthu chiopsezo chofalitsa kachilombo ka HIV kwa munthu wina, koma kumachepetsa kwambiri chiopsezocho.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Musanayambe katemera uyu, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwawauza za matenda aliwonse omwe ali pansipa.
- Matenda a mtima: Ngati muli ndi matenda a mtima kapena munadwalapo kale.
- Matenda a chiwindi: Ngati muli ndi vuto lililonse ndi chiwindi chanu.
- Mavuto amisala: Ngati mudakumanapo ndi matenda amisala monga kuvutika maganizo.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo ndi mankhwala awa (Cabotegravir, Rilpivirine) kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba: Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, muyenera kuuza dokotala wanu.
Kutengera ndi izi, zidzakhala zosavuta kwa dokotala wanu kusankha ngati chithandizochi chili choyenera kwa inu kapena ayi.
Kodi katemerayu amagwiritsidwa ntchito bwanji?
Iyi si mankhwala omwe mungapite nawo kunyumba. Iyi ndi jakisoni yomwe imaperekedwa m'minofu yanu ndi katswiri wodziwa bwino ntchito zachipatala kuchipatala kapena kuchipatala .
Chofunika kwambiri ndichakuti musaphonye mlingo wokonzedweratu wa katemera . Ngati mwaphonya mlingo, kachilombo ka HIV m'thupi lanu kakhoza kukhala ndi mphamvu yokana mankhwalawa ndi mankhwala ena operekedwa a HIV.Zingachitike. Ngati zimenezo zitachitika, zidzakhala zovuta kwambiri kuchiza. Choncho, pitirizani kulandira katemera pa nthawi yake mpaka dokotala wanu atakuuzani kuti musiye kulandira chithandizo.
Kodi izi ndizoyenera ana aang'ono?
Nthawi zina zapadera, chithandizochi chimaperekedwanso kwa ana aang'ono opitirira zaka 12. Komabe, chimafuna kuyang'aniridwa kwapadera ndi dokotala.
Nanga bwanji ngati nditalandira mankhwala ochulukirapo?
Mankhwala awa ndi a kuchipatala, kotero mwayi woti izi zichitike ndi wochepa. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha . Musagawane ndi wina aliyense pazifukwa zilizonse.
Kodi ndingatani ngati ndaphonya tsiku lomwe lakonzedwa kuti ndilandire katemera?
Ndikofunikira kupeza katemera pa nthawi yake. Ngati pazifukwa zina simungathe kufika pa nthawi yanu yokumana ndi dokotala, imbani dokotala wanu kapena chipatala nthawi yomweyo ndipo muwadziwitse. Adzakulangizani zomwe mungachite kenako.
Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, chifukwa mankhwala ena amatha kusokoneza kugwira ntchito kwa katemerayu. Gwiritsani ntchito tebulo ili m'munsimu kuti mudziwe bwino.
| Gulu la mankhwala | Zitsanzo ndi mafotokozedwe |
|---|---|
| Mankhwala omwe sayenera kumwedwa ndi katemera uyu | |
| Dexamethasone (mankhwala opitilira umodzi) | Uwu ndi mtundu wa steroid. Kumwa kangapo kungayambitse mavuto. |
| Mankhwala ena a khunyu | Mwachitsanzo: Carbamazepine, Oxcarbazepine, Phenobarbital, Phenytoin |
| Maantibayotiki ena operekedwa pa chifuwa chachikulu | Mwachitsanzo: Rifabutin, Rifampin, Rifapentine |
| Wort wa St. John | Ichi ndi chowonjezera cha zitsamba. |
| Mankhwala ena omwe angayambitse mavuto (uzani dokotala wanu ) | |
| Maantibayotiki ena | Mwachitsanzo: Azithromycin, Clarithromycin, Erythromycin |
| Methadone | Mankhwala operekedwa kwa anthu omwe ali ndi vuto la mankhwala osokoneza bongo. |
Mndandandawu sunathe. Uzani dokotala wanu za mavitamini onse, mankhwala azitsamba, ndi mankhwala omwe mumamwa. Komanso, uzani dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena osokoneza bongo.
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Pitani kuchipatala masiku omwe mwakonza ndipo mukaone dokotala wanu. Ngati mukupeza zizindikiro zatsopano, kambiranani naye za zizindikirozo. Mungafunikenso kuyezetsa magazi kofunikira pamene mukumwa mankhwala awa.
- Kufalikira kwa kachilombo ka HIV: Kumbukirani kuti kachilombo ka HIV kamafalikira kudzera mu kugonana kapena magazi. Lankhulani ndi dokotala wanu za njira zotetezeka zopewera izi.
- Matenda a pakhungu oopsa: Izi ndizofunikira kwambiri. Matenda a pakhungu oopsa amatha kuchitika milungu ingapo kapena miyezi ingapo mutayamba kumwa mankhwalawa. Samalani ndi zizindikiro zotsatirazi:
- Kutupa pakhungu komwe kumakhala ndi zizindikiro zofanana ndi malungo kapena chimfine.
- Madontho ofiira kapena ofiirira amaonekera pakhungu, omwe pambuyo pake amatuluka matuza kapena kuchotsedwa.
- Kutupa kofiira pakhungu ndi kutupa kwa nkhope, milomo, kapena ma lymph nodes m'khosi ndi m'khwapa.
Ngati muwona chimodzi mwa zizindikiro izi, musachedwe ndipo pitani kuchipatala nthawi yomweyo .
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, katemerayu angayambitse zotsatira zina zoyipa. Zina mwa izo zingakhale zoopsa, pomwe zina zimakhala zofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Ziwengo zoopsa | Kuyabwa, kutupa kwa nkhope, milomo, ndi lilime. |
| Kuvuta kupuma | Kupuma movutikira, kupuma mofulumira. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosinthasintha. |
| Kusintha kwa maganizo | Maganizo ofuna kudzipha, nkhawa yaikulu, komanso kusokonezeka maganizo. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Makhalidwe Abwino | Malungo, mutu, chizungulire, nseru, kusanza. |
| Ululu pamalo obayira jakisoni | Kufiira, kutupa, kapena kupweteka kumene kunabayidwa jakisoni. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu za icho.
Uthenga Wopita Nawo Kunyumba
- Katemera wa Cabotegravir ndi Rilpivirine (Cabenuva) ndi katemera wogwiritsidwa ntchito polimbana ndi kachilombo ka HIV, koma si mankhwala.
- Katemerayu amaperekedwa kuchipatala kapena ku chipatala. Ndikofunikira kuti munthu alandire katemerayu pa tsiku lomwe lakonzedwa. Musadumphe tsiku lililonse.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi zizindikiro monga ziwengo zazikulu pakhungu (ziphuphu ndi malungo, matuza) kapena kusintha kwa maganizo (nkhawa yaikulu, kuvutika maganizo).
- Nthawi zonse tsatirani malangizo a dokotala wanu ndipo pita kukaonana ndi dokotala nthawi zonse.
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